Key result
Carcinomatous lymphangitis mimics acute PE in a woman presenting with rapidly worsening dyspnea.
Case Report (n=1)
No
Carcinomatous lymphangitis can present with clinical and echocardiographic features that closely mimic pulmonary thromboembolism.
Consider carcinomatous lymphangitis in dyspnea mimicking pulmonary embolism; case report leaves open prevalence and diagnostic strategies.
A 41-year-old woman was admitted with rapidly worsening dyspnea. Echocardiography disclosed interventricular septal flattening and a markedly decreased left ventricle, although left ventricular contraction remained normal. Computed tomography of the chest demonstrated slightly dilated main pulmonary arteries and fine reticulonodular densities in the lung. Examination of a transbronchial lung biopsy specimen revealed carcinomatous lymphangitis, and the patient died 7 days after admission. The clinical presentation of this patient was difficult to discriminate from that seen with pulmonary thromboembolism.
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Koutaki et al. (2001) conducted a case report in Carcinomatous lymphangitis (n=1). Transbronchial lung biopsy was evaluated. Transbronchial lung biopsy revealed carcinomatous lymphangitis in a 41-year-old woman presenting with rapidly worsening dyspnea that clinically mimicked acute pulmonary thromboembolism.
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